Active NPI
Psychology Practice
- Adult Mental Health Clinic/Center
- Baldwin, NY
National Provider Identifier
1356700066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 008773
- Legal business name
- PSYCHOLOGY PRACTICE
- Practice address
- 865 Merrick Rd
#305
Baldwin, NY 11510-3338 - Phone
- (516) 868-3421
- NPI assigned
- Feb 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leroy V. Monroe, PH.D.
- Title
- Psychologist
- Phone
- (516) 868-3421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 008773 | NY | Primary |
Addresses
Primary practice location
865 Merrick Rd
#305
Baldwin, NY 11510-3338
Mailing address
865 Merrick Rd
#305
Baldwin, NY 11510-3338
Phone (516) 868-3421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01572229 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
865 Merrick Rd
#305
Baldwin, NY 11510
Phone (516) 543-5397
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Brooklyn, NY
- NPI 1164507307
-
- Clinical Psychologist
- Far Rockaway, NY
- NPI 1942237433
-
- Psychiatry Physician
- Manhasset, NY
- NPI 1154330124
-
- Clinical Social Worker
- Baldwin, NY
- NPI 1669496659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456185600000",
"number": "1356700066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 MERRICK RD",
"address_2": "#305",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103338",
"telephone_number": "516-868-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 MERRICK RD",
"address_2": "#305",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103338",
"telephone_number": "516-868-3421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "LEROY",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "516-868-3421",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NY",
"license": "008773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01572229",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.